Class effects of tyrosine kinase inhibitors in the treatment of chronic myeloid leukemia.

Abstract:

:Tyrosine kinase inhibitors have revolutionized the treatment of chronic myeloid leukemia (CML), offering patients several targeted therapeutic options that provide the possibility of sustained remissions and prolonged survival. With the availability of imatinib, nilotinib and dasatinib, physicians must weigh the efficacy and safety profile of each agent when choosing the best therapeutic option for individual patients. Each agent targets tyrosine kinases within the cell uniquely to cause the desired antiproliferative effect. In addition to inhibiting the BCR-ABL kinase, imatinib and nilotinib target the same array of other tyrosine kinases, including c-KIT and platelet-derived growth factor receptor (PDGFR), albeit with differing potencies. While targeting BCR-ABL with the highest potency among approved agents in CML, dasatinib also targets a broad array of off-target kinases, including SRC family members, PDGFR and EPHB4. The differences in kinase inhibition profiles among these agents in vitro probably account for the differing clinical safety profiles of these agents. This paper reviews the various kinases inhibited by imatinib, nilotinib and dasatinib, and describes the potential impact of kinase inhibition on the efficacy and safety of each agent.

journal_name

Leukemia

journal_title

Leukemia

authors

Giles FJ,O'Dwyer M,Swords R

doi

10.1038/leu.2009.111

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1698-707

issue

10

eissn

0887-6924

issn

1476-5551

pii

leu2009111

journal_volume

23

pub_type

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